Individual
TEKISHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18 LUCKIE ST STE F, BAXLEY, GA 31513-0358
(912) 367-1362
Mailing address
18 LUCKIE ST STE F, BAXLEY, GA 31513-0358
(912) 367-1362
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F09200883
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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